Cost burden of neuroimaging during one-time admission for first-ever acute stroke in Nigeria

Abstract

‫في‬ ‫ودوره‬ ‫األعصاب‬ ‫تصوير‬ ‫تكلفة‬ ‫عبء‬ ‫لتحديد‬ ‫األهداف:‬ ‫سكتة‬ ‫ألول‬ ‫للدخول‬ ‫فترة‬ ‫ألول‬ )HCs( ‫للعالج‬ ‫املباشرة‬ ‫التكاليف‬ ‫اإلطالق.‬ ‫على‬ ‫دماغية‬ ‫املفصلة‬ ‫والتكاليف‬ ‫السريرية،‬ ‫اخلصائص‬ ‫من‬ ‫كال‬ ‫قيمت‬ ‫الطريقة:‬ ‫السكتة‬ ‫أول‬ ‫مع‬ ‫التوالي‬ ‫على‬ ‫مريض‬ 170 ‫لـ‬ HCs ‫ومجموع‬ ‫املباشرة‬ ‫لدينا‬ ‫العامة‬ ‫الصحة‬ ‫مرفق‬ ‫في‬ ‫ادخل‬ ، ‫مضى‬ ‫وقت‬ ‫أي‬ ‫من‬ ‫الدماغية‬ ‫شهرا.‬ 15 ‫مدى‬ ‫على‬ ‫الدماغية.‬ ‫بالسكتة‬ ‫مريض‬ 170 ‫سجالت‬ ‫استعراض‬ ‫مت‬ ‫النتائج:‬ ‫بالسكتة‬ ‫مريض‬ ‫لكل‬ ‫واحدة‬ ‫ملرة‬ ‫للقبول‬ HCs ‫مجموع‬ ‫متوسط‬ ‫كان‬ 15.86 ‫بلغت‬ ‫يومية‬ ‫متوسطة‬ ‫بتكلفة‬ ‫ا‬ ً ‫دوالر‬ 183.30$1 ‫الدماغية‬ ‫من‬ ‫األعلى‬ ‫اإلشعاعية‬ ‫لالختبارات‬ ‫التكلفة‬ ‫متوسط‬ ‫كانت‬ ‫ا.‬ ً ‫دوالر‬ ‫األقل‬ ‫على‬ ‫األعصاب‬ ‫تصوير‬ ‫شكل‬ ‫املصنفة.‬ ‫املستشفى‬ ‫تكاليف‬ ‫بني‬ . ‫اإلشعاعية‬ ‫االختبارات‬ ‫بني‬ ‫من‬ ‫املرضى‬ ‫على‬ ‫التكلفة‬ ‫من‬ 99% ‫تصوير‬ ‫سيما‬ ‫وال‬ ‫اإلشعاعية،‬ ‫لالختبارا‬ ‫املالية‬ ‫العبء‬ ‫أن‬ ‫اخلامتة:‬ ‫سكتة‬ ‫ألول‬ ‫األولى‬ ‫للمرة‬ ‫املرضى‬ ‫قبول‬ ‫أثناء‬ ‫مرتفع‬ ‫األعصاب،‬ ‫بيئتنا.‬ ‫في‬ ‫دماغية‬ Objectives:To determine the cost burden of Neuroimaging and its contribution to direct total hospitalization costs )HCs( during one-time admission for first-ever stroke. Methods:The clinical characteristics, direct itemised costs and total HCs for 170 consecutive patients with first-ever stroke, admitted at our public tertiary health facility over a 15-month period were evaluated. Results:The records of 170 stroke subjects were reviewed. The median total HCs for one-time admission per stroke patient was $183.30 with a median daily cost of $15.86. Median cost of radiological investigations was the highest among the categorized hospital costs. Among the radiological investigations, neuroimaging accounted for at least 99% of cost to patients. Conclusion:The financial burden of radiological investigations, particularly neuroimaging, is high during one-time admission of patients with first-ever stroke in our environment.

Magnetic resonance imaging infarct volume correlates with carotid intima–media thickness and plaque echotexture in ischemic stroke

“…[ 8 ] Sub-Saharan Africa is now the region with the highest burden of stroke in the world, with its associated healthcare cost, morbidity, and mortality. [ 9 10 11 ]…”